Nagai K, Gi H, Kiguchi T, Takizawa N, Taguchi M, Kato H, Ebihara Y
Department of Thoracic Surgery, National Cancer Center Hospital East, Chiba, Japan.
Kyobu Geka. 1993 Jul;46(7):590-4.
Carcinoid tumor of the thymus is a rare tumor. It is difficult to detect thymic carcinoid tumors by conventional chest X-ray films. As a result many cases of thymic carcinoid tumor are discovered at an advanced stage. While it is difficult to make a definitive pathological diagnosis preoperatively, percutaneous needle biopsy by Surecut needle is possible. Median sternotomy is better than thoracotomy, as thymectomy and lymph nodes dissection are necessary. Of the 6 cases of thymic carcinoid tumors, 5 were diagnosed as atypical carcinoid histologically, and in 3 of those 5 cases lesions resembling small cell carcinoma were observed in some specimen. The causes of these advanced atypical thymic carcinoid cases were not good.
胸腺类癌是一种罕见的肿瘤。通过传统胸部X光片很难检测到胸腺类癌肿瘤。因此,许多胸腺类癌病例在晚期才被发现。虽然术前很难做出明确的病理诊断,但使用Surecut针进行经皮穿刺活检是可行的。正中胸骨切开术优于开胸手术,因为需要进行胸腺切除术和淋巴结清扫。在6例胸腺类癌肿瘤中,5例在组织学上被诊断为非典型类癌,在这5例中的3例中,在一些标本中观察到类似小细胞癌的病变。这些晚期非典型胸腺类癌病例的预后不佳。